| Lee G Razalan Md, A Medical Corporation | |
|
2511 Pacific Ave Long Beach CA 90806-3033 | |
| (562) 424-4661 | |
| (562) 427-3333 |
| Full Name | Lee G Razalan Md, A Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 2511 Pacific Ave, Long Beach, California |
| Authorized Official Name and Position | Lee G Razalan (OWNER) |
| Authorized Official Contact | 5624244661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee G Razalan Md, A Medical Corporation 2511 Pacific Ave Long Beach CA 90806-3033 Ph: (562) 424-4661 | Lee G Razalan Md, A Medical Corporation 2511 Pacific Ave Long Beach CA 90806-3033 Ph: (562) 424-4661 |
| NPI Number | 1134650849 |
|---|---|
| Provider Enumeration Date | 03/23/2017 |
| Last Update Date | 05/02/2025 |
| Medicare PECOS PAC ID | 5193000255 |
|---|---|
| Medicare Enrollment ID | O20170403000573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134650849 | NPI | - | NPPES |
| 00A308840 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A30884 (California) | Primary |
| Provider Name | Lee G Razalan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780601534 PECOS PAC ID: 5698660744 Enrollment ID: I20040217001103 |
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